Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | NO2528 | NY |
NPI | 1093809949 |
---|---|
Provider Name | Dr. Josef Jonathan Geldwert |
First Address | New York, NY 10128-1111 |
Second Address | New York, NY 10128-1111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 13/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00418002 | (05) | NY |
480012311 | RR INDIVIDUAL PROVIDER # (01) | NY |
T50803 | (02) | NY |